{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T07:17:41Z","timestamp":1782803861848,"version":"3.54.5"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T00:00:00Z","timestamp":1572825600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T00:00:00Z","timestamp":1572825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2019,12]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Traditional aortic arch replacement surgery must be performed under moderate or deep hypothermia (22\u201328\u2009\u00b0C) and circulatory arrest. Hypothermia and hypoperfusion can cause damage to the nervous system; therefore, postoperative brain and spinal cord complications are common. Improvements in surgical techniques are necessary to solve this problem. Herein, we report a method of total aortic arch replacement that can be performed at a core temperature of 34\u2009\u00b0C, similar to other simple cardiac operations.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n Four patients underwent surgery with this technique (3 males and 1 female, aged 48 to 67\u2009years). Computed tomography angiography performed at admission showed a total aortic dissection, resulting in a diagnosis of Stanford type A aortic dissection. The patients underwent emergency aortic sinus remodelling, ascending aortic replacement, modified aortic arch replacement, and elephant trunk stenting. No patients had neurological complications. During a follow-up of more than 1-month, no patients had aortic valve regurgitation or anastomotic leak.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This technique can increase the operating temperature by approximately 6 to 12\u2009\u00b0C and reduce the circulatory arrest time by approximately 18 to 28\u2009min. All of the patients recovered well without any neurological complications, demonstrating the feasibility and safety of this technique. We believe that this technique can serve as a good alternative strategy for managing aortic dissection and aneurysm, especially for young surgeons who are acquiring experience in arch replacement surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s13019-019-1001-0","type":"journal-article","created":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T13:03:24Z","timestamp":1572872604000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Total aortic arch replacement surgery with a Core temperature of 34\u2009\u00b0C"],"prefix":"10.1186","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0892-8850","authenticated-orcid":false,"given":"Quan","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Qu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianqi","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianmin","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Lv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,11,4]]},"reference":[{"issue":"5","key":"1001_CR1","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1111\/jocs.12532","volume":"30","author":"JM Zhu","year":"2015","unstructured":"Zhu JM, Qi RD, Liu YM, et al. Repair of type a dissection with mitral regurgitation using total arch replacement with mitral valve surgery. J Card Surg. 2015;30(5):438\u201341.","journal-title":"J Card Surg"},{"issue":"5","key":"1001_CR2","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1111\/jocs.12170","volume":"28","author":"S Pagni","year":"2013","unstructured":"Pagni S, Ganzel BL, Trivedi JR, et al. Early and midterm outcomes following surgery for acute type a aortic dissection. J Card Surg. 2013;28(5):543\u20139.","journal-title":"J Card Surg"},{"issue":"3","key":"1001_CR3","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1055\/s-0037-1604451","volume":"66","author":"A El-Sayed Ahmad","year":"2018","unstructured":"El-Sayed Ahmad A, Papadopoulos N, Risteski P, et al. Is more than one hour of selective antegrade cerebral perfusion in moderate-to-mild systemic hypothermic circulatory arrest for surgery of acute type a aortic dissection safe? Thorac Cardiovasc Surg. 2018;66(3):215\u201321.","journal-title":"Thorac Cardiovasc Surg"},{"key":"1001_CR4","first-page":"329","volume":"51","author":"H Jakob","year":"2017","unstructured":"Jakob H, Dohle D, Benedik J, et al. Long-term experience with the E-vita open hybrid graft in complex thoracic aortic disease. Eur J Cardiothorac Surg. 2017;51:329\u201338.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"1","key":"1001_CR5","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s13019-017-0689-y","volume":"13","author":"F Gao","year":"2018","unstructured":"Gao F, Ye Y, Zhang Y, Yang B. Modification in aortic arch replacement surgery. J Cardiothorac Surg. 2018;13(1):21.","journal-title":"J Cardiothorac Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-019-1001-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13019-019-1001-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-019-1001-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T00:19:09Z","timestamp":1604362749000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-019-1001-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,4]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["1001"],"URL":"https:\/\/doi.org\/10.1186\/s13019-019-1001-0","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,4]]},"assertion":[{"value":"29 July 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 September 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 November 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The ethics committee met at the Shandong Provincial Qianfoshan Hospital, and review board approval to this study was obtained. Written consent was also received from patients.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written consent for publication was obtained from patients.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"184"}}